Rental Application
Contact Information
Name
Cell Phone
Email
Address you are applying to
Unit number you are applying to
Current address
Did you view the apartment?
Yes
No
Initial Questions
Do you have a rental assistance program. (Sec 8, City Fheps, HASA, etc)
Yes
No
If your answer was yes, which program do you have?
NYCHA (Section 8)
HPD (Section 8)
CVR (Section 8)
HCV (Section 8)
HASA
Cityfheps / FHEPS
How many bedrooms is your voucher for?
Studio
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
Section 8 Voucher Number
What is your voucher's issue date?
What is your voucher's expiration date?
Are you transferring your section 8 from another apartment?
Yes
No
Is this your first time getting Section 8?
Yes
No
Are you coming from a shelter?
Yes
No
Where would you say your credit score would rank?
No Credit History
Very Poor (300-579)
Poor (580-669)
Fair (670-739)
Good (740-799)
Very Good (800+)
Additional Occupants
Are there any other occupants that will be living with you?
If answer is yes please list them below.
Yes
No
Full Name
Relationship To You
Full Name
Relationship To You
Full Name
Relationship To You
Full Name
Relationship To You
Full Name
Relationship To You
Employment History
Do you currently work?
Yes
No
Employer Name
Employer Address
Supervisor Name
Supervisor Phone
Hourly pay rate
Average hours per week
1st most recent paystub
Failure to upload this will result in an incomplete application and will be deleted.
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2nd most recent paystub
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3rd most recent paystub
Failure to upload this will result in an incomplete application and will be deleted.
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Did you file a tax return last year?
Yes
No
Last year's tax return
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Other Sources Of Income
If you currently receive money from the state please specify what it is. If you don't receive funding from the state please put N/A. (Cash Assistance, SSI, food stamps, etc)
Select all that apply
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Cash Assistance
SSI
Food Stamps
Other
N/A
Cash Assistance Budget Letter
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SSI Award Letter
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Specify the other source of funding/income
Source Of Funding
Source Of Funding
Housing Specialist Contact Information
Housing Specialist Name
Housing Specialist Phone Number
Housing Specialist Email
Current Landlord Information
Landlord Name
If you are in shelter and do not have a landlord, type "SHELTER"
Landlord Phone Number
If you are in shelter and do not have a landlord, type "SHELTER"
Landlord Email
If you are in shelter and do not have a landlord, type "SHELTER"
Authorization - Tenant Disclosure and Release
Are you or any other occupant a smoker?
Yes
No
Do you have pets?
Yes
No
Copy Of Photo ID
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Copy Of Social Security Card
Social Security Card will be required upon approval.
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Voucher Cover Letter
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PIN Letter
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Authorization – Tenant Disclosure and Release #1
I agree that all of the information provided in this application is true, accurate, complete, and correct as of today's date. I agree that any information determined to be intentionally false or omitted will be grounds for disapproval of my application or termination of the lease. I understand and agree that this application does not guarantee that I will be offered the property, and I authorize the owner to verify the information provided. I agree to follow the rules for acceptable use including no smoking, no pets, and no subletting.
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Authorization – Tenant Disclosure and Release #2
In connection with my tenant application with you, I understand that consumer reports which may contain public record information may be requested to evaluate my rental application. These reports may include the following types of information: names and dates of previous employers, public records, credit data, bankruptcy proceedings, eviction and criminal records, etc., from federal, state and other agencies which maintain such records. I hereby authorize procurement of consumer report(s). If approved as a tenant, this authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time during my contract period.
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Tenant Acknowledgement
THIS APPLICATION DOES NOT GUARANTEE YOU THE APARTMENT. BY SIGNING THIS DOCUMENT YOU ACKNOWLEDGE THAT YOU WILL BE CONSIDERED FOR THE APARTMENT BUT YOUR NOT GUARANTEED TO GET IT.
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